Date
Page

JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM

01/20/98
1 ;

; “AGENCY *
RECORD NUMBER

_ RECORDS SERIES
AGENCY FILE NUMBER

AGENCY INFORMATION

INSCOM/CSF

194-10004-10147

DOD-AFFILIATED PERSONNEL INCIDENT INVESTIGATIONS
PAGE 389

ORIGINATOR
FROM

TO

TITLE

DATE

PAGES
SUBJECTS

DOCUMENT TYPE
CLASSIFICATION
RESTRICTIONS
CURRENT STATUS

‘DATE OF LAST REVIEW
OPENING CRITERIA
COMMENTS

DOCUMENT INFORMATION

USA
DCOFS, OPERS HQS USAINTC

[ RESTRICTED }
02/20/67 —

1

FROMER, DAVID R

DA FORM 3027

PAPER, TEXTUAL DOCUMENT
UNCLASSIFIED ~

3 ;
RELEASED WITH DELETIONS
03/07/95

NW 60613 Docld: 34528588 Page 1

Pe PiaeE oF BATH ;

_|[Chicago, Cool, Tninois | _

aD Jal Jui i 1913, .

‘Cinelynati, Ohio ~
‘131 Dee §909 7
Esthim ville,

- e.- NUMBER AND STREET
i538 Cabrillo St.° San Francigco . ;
2450. Beneroft Way = ‘Berkeley 7-03 -|Cealif.
“(8BL Clayton St. 0 7 ee San'Franciseo “JCalit. . .
219 N. Basset. - a — | Madison- °°. |Wiseensin .
213 Leke Lawn Ave. . - Madison «  ° . Visesrsia ;

qt puaivers)ty ! Aves > Madison |

< See

oe meme racine 3

a. 2 iz Se To | s ¢. EMPLOYER
“hee 1959, bec 4999 Paul Dler Bookstore Oo San Francisco, Celif.
Sumer 6 San Francisco Council Cem. Fire Girks San Frangiseo, Calir.’
1G60.-. 195 a, Fairmont Hotel . ..-: San ‘Franciseo, Calif.
1951 “ol -| 4962: Poster's Restaurant Sees Sen Francisco, Calif.
Sumner .1962 & 3983 - |Madison Board of Education Ree, | Ved Wisconsin:

= flank . ‘

14. LAST CIVILIAN SCHOOL .

WTO c. NAME

‘easent _ University of Wisconsin -

15. 1TEM {" “Yes” answers are expanded in. Remorks)-

palbal 3

-|palbd| pe)

“Derr, reflects P-NONT-ROSLAFOS1, TeNONT-63 40679018), : . \
_SUBJECTIS sister nn, Rhodes .Spake, NEE’: Ae SUBJECTS Father, Irving ‘Promer -

No RE Cory » ONT REQUEST ‘COPY. OF RESULTS OF m5 | |
11027 FEBG) i

; INVESTIGATION CONDUCIEED 70 DATE
elas GT a es TE ah. eas
ie FRE NCo2S Operatic.
. ‘Headgquasters USA ae on
SOARING UCGP THY fe eo

NW 60613 Docid:34528500 Page 2

